Individual
RAYMOND HIDEO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98211 PALI MOMI ST, SUITE 705, AIEA, HI 96701-4377
(808) 488-3288
(808) 488-6925
Mailing address
98211 PALI MOMI ST, SUITE 705, AIEA, HI 96701-4377
(808) 488-3288
(808) 488-6925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
783
HI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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